For
equipment rentals that you will use at a convention, meeting,
outdoor venue or other event, please complete this request
form. Once we receive your rental request, a Scootaround
operator will forward you a detailed quote online directly
to your e-mail Inbox!

• Fields marked
in Bold are required.
• This is not a booking form -- all rentals must be
confirmed.

Personal
Information

First Name

Last Name

Street Address

City

Country State / Province

Other Country

ZIP / Postal

Equipment User's Height

Equipment User's Weight

Preferred
Contact Method

Contact me by:Please
provide both your telephone and e-mail address in
case we cannot reach you at your preferred method:

Telephone
E-mail

Area Code + Phone

Area
Code + Work Phone

Email Address

Rental
Information

Equipment TypeEquipment
types shown here are examples only and may vary
based on your location.